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You Are Not Broken

Podcast You Are Not Broken
Kelly Casperson, MD
Empowering women (and the partners who love them) to live their best mid lives. Combining the power of mind-work, body-science and relationships, I joyously sma...
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Available Episodes

5 of 293
  • 293. T is a Brain Hormone - Treating the Couple for Low T and Sexual Health
    293. T is a Brain Hormone - Treating the Couple for Low T and Sexual Health In this engaging conversation, Dr. Joshua Gonzalez and Dr. Kelly Casperson explore various aspects of sexual health, focusing on the importance of language, the journey into understanding female sexual health, and the complexities of erectile dysfunction and libido in men. They emphasize the need to treat couples as a sexual unit and discuss the role of testosterone in overall health. In this conversation, Dr. Joshua Gonzalez and Dr. Kelly Casperson delve into the complexities of testosterone therapy, its historical context, and the stigma surrounding hormone replacement. They discuss the importance of hormones in aging and mental health, the need for responsible hormone management, and the innovations in sexual health products. The dialogue emphasizes the necessity of rebranding hormones and addressing misconceptions to improve patient care and access. In this conversation, Dr. Joshua Gonzalez and Dr. Kelly Casperson delve into various aspects of sexual health, focusing on male sexual response, the effects of medications on sexual function, and innovative procedures for penile enhancement. They discuss the psychological factors influencing men's desire for enhancement, the importance of understanding the male sexual response, and the implications of medications like statins and finasteride on libido and testosterone levels. Takeaways Understanding female anatomy is crucial for effective treatment. Pain during sex is a common issue that needs addressing. Sex should not be limited to penetration; intimacy can take many forms. Couples should be treated as a unit in sexual health discussions. Erectile dysfunction can exist independently of libido. Do GLP1s affect desire or other aspects of intimacy? Testosterone plays a significant role in both male and female sexual health. Screening for low testosterone should be standard practice? Hormones should be treated similarly to other medications. Historical regulations on testosterone are outdated and need reform. The stigma around testosterone affects both men and women. Hormones play a crucial role in aging and cognitive function. Deregulation of testosterone could enhance patient access. Are statins affecting testosterone or libido? Penile Fillers Supplements to increase ejaculation volume https://testosteroneproject.com/ https://joshuagonzalezmd.com/ https://www.shoppopstar.com/ For more education about low T and getting started on possible therapy, visit Kyzatrex Thanks to our sponsor Midi Women's Health. Designed by midlife experts, delivered by experienced clinicians, covered by insurance. Midi is the first virtual care clinic made exclusively for women 40+. Evidence-based treatments. Personalized midlife care. https://www.joinmidi.com Thanks to our sponsor Sprout Pharmaceuticals. To find out if Addyi is right for you, go to addyi.com/notbroken and use code NOTBROKEN for a $10 telemedicine appointment. See Full Prescribing Information and Medication Guide, including Boxed Warning for severe low blood pressure and fainting in certain settings at addyi.com/pi To learn more about Via vaginal moisturizer from Solv Wellness, visit via4her.com for 30% off your first purchase of any product, automatically applied at checkout. For an additional $5 off, use coupon code DRKELLY5. Order my book "You Are Not Broken: Stop "Should-ing" All Over You Sex Life" Listen to my Tedx Talk: Why we need adult sex ed Take my Adult Sex Ed Master Class: Join my membership to get these episodes ASAP, a private facebook group to discuss and my private accountability group for your health, hormones and life support! www.kellycaspersonmd.com/membership Interested in my sexual health and hormone clinic? Starts January 2025. Learn more about your ad choices. Visit megaphone.fm/adchoices
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  • 292. Dr. Roger Lobo
    Dr. Roger Lobo, a renowned expert in women's health, discusses the misconceptions and controversies surrounding female hormones. He highlights the lack of knowledge and understanding in areas such as PCOS, menopause, and hormone therapy. Dr. Lobo also delves into the impact of the Women's Health Initiative (WHI) study on hormone therapy and the importance of individualized treatment. He emphasizes the need for informed consent and personalized approaches to hormone therapy based on factors such as age, risk assessment, and transdermal delivery. The conversation also touches on the role of progesterone in protecting the uterine lining and the potential risks of bioidentical hormones. In this conversation, Dr. Kelly Casperson and Dr. Roger Lobo discuss the use of hormone therapy for primary prevention in women. They address the controversy surrounding hormone therapy and the lack of consensus among healthcare providers. Dr. Lobo emphasizes the importance of education and the need for providers to be knowledgeable about hormone therapy. They also discuss the role of estrogen in preventing chronic diseases such as cardiovascular disease and osteoporosis. Dr. Lobo mentions advancements in the field, including the use of estetrol and selective estrogen receptor modulators. Takeaways Misdiagnosis and lack of understanding are common in areas such as PCOS and menopause. The WHI study led to a generation of women being undertreated due to misconceptions about hormone therapy. Hormone therapy should be individualized based on factors such as age, risk assessment, and transdermal delivery. Progesterone is important for protecting the uterine lining in hormone therapy. Bioidentical hormones may still carry risks and should be monitored. There is controversy and lack of consensus among healthcare providers regarding the use of hormone therapy for primary prevention in women. Education is crucial to ensure that healthcare providers are knowledgeable about hormone therapy and can provide accurate information to patients. Estrogen has a role in preventing chronic diseases such as cardiovascular disease and osteoporosis. Advancements in the field include the use of estetrol and selective estrogen receptor modulators. Thanks to our sponsor Midi Women's Health. Designed by midlife experts, delivered by experienced clinicians, covered by insurance. Midi is the first virtual care clinic made exclusively for women 40+. Evidence-based treatments. Personalized midlife care. https://www.joinmidi.com To learn more about Via vaginal moisturizer from Solv Wellness, visit via4her.com for 30% off your first purchase of any product, automatically applied at checkout. For an additional $5 off, use coupon code DRKELLY5. Order my book "You Are Not Broken: Stop "Should-ing" All Over You Sex Life" Listen to my Tedx Talk: Why we need adult sex ed Take my Adult Sex Ed Master Class: Join my membership to get these episodes ASAP, a private facebook group to discuss and my private accountability group for your health, hormones and life support! www.kellycaspersonmd.com/membership Interested in my sexual health and hormone clinic? Starts January 2025. Learn more about your ad choices. Visit megaphone.fm/adchoices
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  • 291. Do The Boomers Have A Choice? Rethinking Timing of Hormones
    In this episode of the You're Not Broken podcast, Dr. Kelly Casperson and Dr. Corinne Menn discuss the recent paper by Sasha Taylor and Susan Davis that revisits the recommendations for initiating menopausal hormone therapy. They explore the arbitrary nature of age cutoffs for hormone therapy, the timing hypothesis, and the implications of the Women's Health Initiative data. The conversation emphasizes the importance of understanding the risks and benefits of hormone therapy, particularly for women over 60, and addresses common misconceptions surrounding hormone therapy and its effects on bone health and dementia. The episode concludes with a call to action for women to advocate for their health and seek appropriate hormone therapy. Takeaways Millions of women feel they have been overlooked in hormone therapy discussions. The age cutoffs for hormone therapy initiation are arbitrary and not based on solid evidence. The timing hypothesis suggests that starting hormone therapy earlier can lead to better health outcomes. The Women's Health Initiative data is often misinterpreted and does not reflect the current understanding of hormone therapy. Hormone therapy can provide long-term benefits for bone health and reduce the risk of osteoporosis. Many women experience symptoms beyond hot flashes that can persist for years after menopause. The risks associated with hormone therapy are often overstated and misunderstood. Women over 60 should not be denied hormone therapy based solely on age or years since menopause. Dementia risk associated with hormone therapy is not as significant as previously thought, especially with proper medication choices. Women need to advocate for their health and seek out hormone therapy options that are safe and effective. Taylor S, Davis SR. Is it time to revisit the recommendations for initiation of menopausal hormone therapy? Lancet Diabetes Endocrinol. 2024 Oct 14:S2213-8587(24)00270-5. doi: 10.1016/S2213-8587(24)00270-5. Epub ahead of print. PMID: 39419045. Thanks to our sponsor Midi Women's Health. Designed by midlife experts, delivered by experienced clinicians, covered by insurance. Midi is the first virtual care clinic made exclusively for women 40+. Evidence-based treatments. Personalized midlife care. https://www.joinmidi.com To learn more about Via vaginal moisturizer from Solv Wellness, visit via4her.com for 30% off your first purchase of any product, automatically applied at checkout. For an additional $5 off, use coupon code DRKELLY5. Order my book "You Are Not Broken: Stop "Should-ing" All Over You Sex Life" Listen to my Tedx Talk: Why we need adult sex ed Take my Adult Sex Ed Master Class: Join my membership to get these episodes ASAP, a private facebook group to discuss and my private accountability group for your health, hormones and life support! www.kellycaspersonmd.com/membership Interested in my sexual health and hormone clinic? Starts January 2025. Learn more about your ad choices. Visit megaphone.fm/adchoices
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  • 290. The Biggest Gap in Women's Healthcare - with Dr. Heather Hirsch
    In this engaging conversation, Dr. Kelly Casperson and Dr. Heather Hirsch discuss the critical aspects of women's health, particularly focusing on menopause, hormone therapy, and sexual health. They explore the importance of education in these areas, the complexities of desire, and the need for personalized approaches to hormone therapy. The discussion highlights the evolving landscape of women's health care and the necessity for continued research and advocacy to improve the quality of life for women as they age. Takeaways Menopause is a significant gap in women's health care. Education is crucial for empowering women about their health. Hormones play a vital role in sexual health and desire. The medical community needs to adapt to the changing needs of women. Personalized hormone therapy can greatly improve quality of life. Women are increasingly aware of their health needs and options. The stigma around hormone therapy is slowly changing. Open discussions about sexual health are essential. The future of women's health looks promising with ongoing advocacy. Women should be empowered to make informed decisions about their health. Thanks to our sponsor Midi Women's Health. Designed by midlife experts, delivered by experienced clinicians, covered by insurance. Midi is the first virtual care clinic made exclusively for women 40+. Evidence-based treatments. Personalized midlife care. https://www.joinmidi.com Thanks to our sponsor Sprout Pharmaceuticals. To find out if Addyi is right for you, go to addyi.com/notbroken and use code NOTBROKEN for a $10 telemedicine appointment. See Full Prescribing Information and Medication Guide, including Boxed Warning for severe low blood pressure and fainting in certain settings at addyi.com/pi To learn more about Via vaginal moisturizer from Solv Wellness, visit via4her.com for 30% off your first purchase of any product, automatically applied at checkout. For an additional $5 off, use coupon code DRKELLY5. Order my book "You Are Not Broken: Stop "Should-ing" All Over You Sex Life" Listen to my Tedx Talk: Why we need adult sex ed Take my Adult Sex Ed Master Class: Join my membership to get these episodes ASAP, a private facebook group to discuss and my private accountability group for your health, hormones and life support! www.kellycaspersonmd.com/membership Interested in my sexual health and hormone clinic? Starts January 2025. Learn more about your ad choices. Visit megaphone.fm/adchoices
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  • 289. The M Factor Documentary
    In this episode of the You're Not Broken podcast, Kelly Casperson, MD, and Tamsen Fadal discuss the M-Factor documentary, which aims to educate and inform women about menopause. They share insights into the creation process, the importance of real stories, and the impact of the documentary on audiences and communities. The conversation highlights the need for open discussions about women's health and the significance of representation in media. In this engaging conversation, Tamsen and Dr. Kelly Casperson discuss the future of their documentary on menopause, emphasizing the importance of community engagement and the need for accessible resources. They explore the significance of relationships during menopause, the surprising reactions from men who view the film, and Tamsen's personal journey through her experiences. The challenges of documentary production are highlighted, along with reflections on personal growth and the importance of making information accessible to all. The conversation concludes with a focus on international outreach and the ongoing mission to empower women and their communities. Takeaways The M-Factor documentary combines expert insights with real women's stories. Creating the documentary involved collaboration with various professionals and women. The premiere events have sparked significant audience engagement and discussions. Community screenings are essential for spreading awareness about menopause. The documentary aims to create real-time change in how menopause is perceived. Understanding menopause requires accessible and actionable information. The film addresses various aspects of women's health, including workplace issues and hormone therapy. Real stories from women help others feel seen and understood. The documentary has received positive feedback from both audiences and medical professionals. Future screenings and translations are planned to reach a wider audience. International outreach is a priority for future initiatives. Building community connections is essential for empowerment. Relationships play a crucial role during menopause. Men's perspectives on menopause are often overlooked but valuable. Personal experiences shape understanding and empathy. Documentary production involves overcoming significant challenges. Access to information is vital for community health. The journey of creating the documentary was transformative. Engaging men in the conversation can foster understanding. Future screenings are planned internationally to broaden reach. PBS M Factor Link https://themfactorfilm.com/ Tamsen on IG Thanks to our sponsor Midi Women's Health. Designed by midlife experts, delivered by experienced clinicians, covered by insurance. Midi is the first virtual care clinic made exclusively for women 40+. Evidence-based treatments. Personalized midlife care. https://www.joinmidi.com Thanks to our sponsor Sprout Pharmaceuticals. To find out if Addyi is right for you, go to addyi.com/notbroken and use code NOTBROKEN for a $10 telemedicine appointment. See Full Prescribing Information and Medication Guide, including Boxed Warning for severe low blood pressure and fainting in certain settings at addyi.com/pi To learn more about Via vaginal moisturizer from Solv Wellness, visit via4her.com for 30% off your first purchase of any product, automatically applied at checkout. For an additional $5 off, use coupon code DRKELLY5. Order my book "You Are Not Broken: Stop "Should-ing" All Over You Sex Life" Listen to my Tedx Talk: Why we need adult sex ed Take my Adult Sex Ed Master Class: Join my membership to get these episodes ASAP, a private facebook group to discuss and my private accountability group for your health, hormones and life support! www.kellycaspersonmd.com/membership Interested in my sexual health and hormone clinic? Starts January 2025. Learn more about your ad choices. Visit megaphone.fm/adchoices
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